The four types of mood episodes (Mania, Hypomania, Depression, Mixed episode) each has a unique set of symptoms.
Signs and symptoms of mania
In the manic phase of bipolar disorder, feelings of heightened energy, creativity, and euphoria are common. People experiencing a manic episode often talk a mile a minute, sleep very little, and are hyperactive. They may also feel like they’re all-powerful, invincible, or destined for greatness.
But while mania feels good at first, it has a tendency to spiral out of control. People often behave recklessly during a manic episode: gambling away savings, engaging in inappropriate sexual activity, or making foolish business investments, for example. They may also become angry, irritable, and aggressive – picking fights, lashing out when others don’t go along with their plans, and blaming anyone who criticizes their behavior. Some people even become delusional or start hearing voices.
Hypomania symptoms
Hypomania is a less severe form of mania. People in a hypomanic state feel euphoric, energetic, and productive, but they are able to carry on with their day-to-day lives and they never lose touch with reality. To others, it may seem as if people with hypomania are merely in an unusually good mood. However, hypomania can result in bad decisions that harm relationships, careers, and reputations. In addition, hypomania often escalates to full-blown mania or is followed by a major depressive episode.
Common signs and symptoms of mania include:
* Feeling unusually “high” and optimistic OR extremely irritable
* Unrealistic, grandiose beliefs about one’s abilities or powers
* Sleeping very little, but feeling extremely energetic
* Talking so rapidly that others can’t keep up
* Racing thoughts; jumping quickly from one idea to the next
* Highly distractible, unable to concentrate
* Impaired judgment and impulsiveness
* Acting recklessly without thinking about the consequences
* Delusions and hallucinations (in severe cases)
Signs and symptoms of bipolar depression
In the past, bipolar depression was lumped in with regular depression. But a growing body of research suggests that there are significant differences between the two, especially when it comes to recommended treatments. Most people with bipolar depression are not helped by antidepressants. In fact, there is a risk that antidepressants can make bipolar disorder worse – triggering mania or hypomania, causing rapid cycling between mood states, or interfering with other mood stabilizing drugs.
Despite many similarities, certain symptoms are more common in bipolar depression than in regular depression. For example, bipolar depression is more likely to involve irritability, guilt, unpredictable mood swings, and feelings of restlessness. People with bipolar depression also tend to move and speak slowly, sleep a lot, and gain weight. In addition, they are more likely to develop psychotic depression – a condition in which they’ve lost contact with reality – and to experience major disability in work and social functioning.
Common symptoms of bipolar depression include:
* Feeling hopeless, sad, or empty.
* Irritability
* Inability to experience pleasure
* Fatigue or loss of energy
* Physical and mental sluggishness
* Appetite or weight changes
* Sleep problems
* Concentration and memory problems
* Feelings of worthlessness or guilt
* Thoughts of death or suicide
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